Mason, Laura S

Mason, Laura S is an individual health care provider with primary practice located at 13241 Ravenna Rd Ste A , Chardon OH 44024-9012. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mason, Laura S can be contacted via phone (440) 285-9166.

Contact Information

Primary practice address
13241 Ravenna Rd Ste A Chardon OH 44024-9012
Fax: (440) 285-1806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35-072805 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-072805 Ohio

Profile Details

NPI number 1518065580
LBN Legal business name Mason, Laura S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518065580 NPPES
Ohio Other 2613907 BCMH
Ohio MEDICAID 2613907 BCMH

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